Morning dry heaving, accompanied by strong intestinal sounds, may be gastrointestinal dysfunction, acute gastroenteritis, intestinal obstruction and other causes. 1. Gastrointestinal dysfunction: Frequent anxiety and stress can easily induce autonomic disorders, leading to gastrointestinal dysfunction, dry heaving, diarrhea, and strong bowel sounds. 2. Acute gastroenteritis: eating unhygienic food, moldy food, resulting in acute inflammation of the mucosa of the gastrointestinal tract, causing dry heaving, intestinal peristalsis accelerated, so there is a strong intestinal sound. 3. Intestinal obstruction: mechanical intestinal obstruction occurs, there will be strong intestinal sounds, accompanied by dry heaving, stomach pain and other symptoms. Dry heaving in the morning, accompanied by strong intestinal sounds, there are many other causes, it is recommended to consult a doctor in a timely manner, to identify the cause of the disease, standardized treatment under the guidance of the physician.